Soon, Liu Ziang took two resident doctors and began the operation.

After the operation began, Zhao Heng stared closely at the life monitor, especially the patient's blood pressure.

Liu Ziang, on his side, has already begun to drill the skull and prepare to remove the bone flap.

In layman's terms, it is ready to open the patient's skull.

Just when Liu Ziang was holding the bone drill, drilling open the bone cracks little by little, and opening the skull, Zhao Heng found that the patient's blood pressure had dropped significantly.

95/5088/4570/3855/32。

Seeing that the patient's blood pressure had dropped so sharply that it had reached the level of shock, Zhao Heng immediately said to the itinerant nurse Sun Meng: "Intravenous adrenaline 30 micrograms, fast!" ”

Sun Meng immediately picked up the syringe, smoked 30 micrograms of epinephrine, and pushed it directly through the infusion tube.

With such a large dose of adrenaline, blood pressure has risen somewhat, but it is still at a very low level.

"Norepinephrine, epinephrine pump, maintenance dose 1 microgram."

Zhao Heng said to Sun Meng again.

Sun Meng immediately took action and connected the infusion pump filled with norepinephrine and epinephrine to the patient's veins.

With this measure, Zhao Heng saw that the patient's blood pressure was finally maintained at a level of about 70/38, although it was still very low, it was basically stable.

Zhao Heng finished this series of operations to raise blood pressure for the patient, Liu Ziang had already taken off the skull, and it was obvious that there was a shocking dent on the skull, it is conceivable that this patient must have received a heavy blow to the head when the car accident occurred.

"How?"

Liu Ziang put the skull he had taken out of his hand on the workbench, turned his head and asked Zhao Heng.

He naturally knew about the sudden drop in the patient's blood pressure just now, but his operation could not be stopped.

In craniocerebral surgery, you must be careful and careful, the cranial brain, almost all important structures, affect the whole body.

"The blood pressure maintenance is not very good, and it must be solved quickly."

Zhao Heng shook his head slightly and said.

If the patient's blood pressure drops sharply again, Zhao Heng doesn't know if it can rise again.

Because just now, in order to raise the patient's blood pressure, Zhao Heng has used norepinephrine and epinephrine, these two drugs are generally used when the patient is in cardiorespiratory arrest or severe hemorrhagic shock.

"Well, I'll leave it to you."

Liu Ziang said solemnly.

This feeling is like being a comrade-in-arms on the battlefield.

In fact, he is also a comrade-in-arms, and the operating room is not a battlefield of life and death.

Liu Ziang's side is not easy, the patient's skull was hit hard, resulting in a large area of intracranial hemorrhage, to clear these bruises, and then find the damaged blood vessels, in order to complete the blood vessel repair work.

Since the surgery is performed on the brain, every step must be fully focused and there must be no mistakes.

Next, Liu Ziang continued the operation.

"Initiating autologous blood retransfusion."

Zhao Heng said to Sun Meng again.

The autologous blood transfusion here is a means prepared by Zhao Heng before the operation, just to prevent the sudden drop in blood pressure caused by a large amount of blood loss shock and insufficient blood volume.

"Okay. ”

After receiving Zhao Heng's order, Sun Meng nodded and immediately operated.

After this series of operations, Zhao Heng saw that the patient's blood pressure had stabilized, and he was relieved.

Who said that the anesthesiologist simply sat in the operating room, played with his mobile phone, and waited for the surgeon to finish the operation?

It can be said that many times, the life and death of the patient are in the hands of the anesthesiologist.

The patient's blood pressure stabilized, and Zhao Heng breathed a sigh of relief, and had time to watch Liu Ziang carefully undergo surgery.

This Liu Ziang is a master of brain surgery in China, and the surgery he did is naturally very valuable to watch.

No, just after looking at it for a while, Zhao Heng saw that Liu Ziang's body had fallen a white light cluster that Zhao Heng was very familiar with.

Familiar with the road, Zhao Heng's mind moved, and the white light turned into a streamer and drilled into Zhao Heng's mind.

【Ding! Cerebrovascular emergency repair (perfect)】

Ooh!

It turned out to be a perfect skill.

Liu Ziang deserves to be a well-known brain surgeon in China.

Absorbing this skill light group, Zhao Heng couldn't help but sigh in his heart.

You must know that doctors who can drop perfect-level skills can be said to be very few and rare.

Soon, with the fusion of the perfect-level cerebrovascular emergency repair surgery that fell from Liu Ziang's body, Zhao Heng was already very proficient in the movement and repair of cerebral blood vessels, as well as how to avoid damage to brain tissue during the operation to the greatest extent.

After all, the skill that fell from the great god Liu Ziang is naturally extraordinary.

Just as Zhao Heng was sorting out the skills and experiences that were fused in his mind, Liu Ziang's movements suddenly stopped.

Because he was in a very tricky situation.

"What's wrong?"

Seeing Liu Ziang's movements pause, Zhao Heng stood up and asked with some confusion.

"Come and see."

Liu Ziang said briefly.

Zhao Heng walked over when he heard this, stood on the side of the operating table, and followed the direction of Liu Ziang's finger, Zhao Heng saw a clump the size of a broad bean on a cerebral artery, and this mass was still vibrating with the beating of the artery.

"This is a middle cerebral aneurysm?!"

Zhao Heng was instantly shocked.

Originally, the patient had an acute head injury, which was critical enough, but now how did the aneurysm be found on the patient's cerebral artery?

This is simply to add insult to injury.

Middle cerebral aneurysm, which is a "time bomb" for all brain surgeons, talk about discoloration!

If the aneurysm in the cerebral artery ruptures, it can be paralyzed or killed on the spot.

The best outcome is to become a vegetative person.

And now, the patient's blood pressure is unstable enough, Liu Ziang must quickly end the operation, and there is a time bomb such as a middle cerebral aneurysm.

How can this be?

It is important to know that if the aneurysm is not removed, then once the aneurysm ruptures after surgery, the patient's situation may not necessarily wait to be on the operating table.

Moreover, in brain surgery, even if the brain aneurysm surgery is simply done, it is an extremely high-risk and difficult operation, not to mention that it has to be done under emergency conditions.

The most difficult point is that the patient's blood pressure is not well controlled, and the blood may drop at any time, and the operation must be completed quickly.

Arguably, this is the trickiest situation of all, and it all comes together.

"Yes."

Liu Ziang nodded solemnly.

Whether it is traumatic cerebrovascular repair or aneurysm surgery, Liu Ziang is confident to complete it.

But when the two are combined, the operation time is still limited, and he can't crack in half by himself, so there is not enough time to complete it.

Thinking of this, even Liu Ziang, the great god outside the brain, felt like his scalp was exploding!

Doctor: I'm picking up properties at the hospital.

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